with respect to medicare, we do have a very different approach to dealing with medicare. there is no doubt we have to bring down medicare health-care cost growth. the difference is that we believe we should expand on the kind of reforms that we made in the affordable care act, where we achieved billion about $716 billion in savings, not simply by across the board provider cuts, but by changing the incentive structure, the way we pay providers so we focus on the value of care, not the volume of care. i think it is ironic that we have gone in the last four weeks from many of our republican colleagues criticizing the president for having done too much in savings on medicare, $716 billion -- their presidential candidate proposed putting that money back in, in other words adding $716 billion back into the cost of medicare, to complaining the president does not want to do enough. >> who was that presidential candidate? anyone remember? >> i do not want to relitigate the campaign, but it is an important point, i think, which is he proposed that we put the $716 billion net cost b